彩色多普勒超声诊断高血压患者副肾动脉的价值

发布时间：2018-09-08 20:38

【摘要】：目的评价彩色多普勒超声对高血压患者副肾动脉的诊断价值。方法比较无变异侧肾动脉(RA)、变异侧主肾动脉(MRA)及副肾动脉(ARA)三者之间收缩期峰值流速与管径的关系。结果 110例副肾动脉患者中,副肾动脉共118条,位于右侧70条,左侧48条,102例为单侧副肾动脉,8例为双侧副肾动脉。无变异侧RA收缩期峰值流速(104.86±24.08)cm/s,管径(0.51±0.07)cm;变异侧MRA收缩期峰值流速(104.86±34.24)cm/s,管径(0.39±0.07)cm;变异侧ARA收缩期峰值流速(106.72±33.10)cm/s,管径(0.29±0.07)cm。两两比较,无变异侧RA和变异侧MRA管径间有统计学差异;收缩期峰值流速间无统计学差异。变异侧MRA和变异侧ARA管径间有统计学差异;流速对比无统计学差异。无变异侧RA和变异侧ARA管径间比较有统计学差异;流速间比较无统计学差异。结论副肾动脉是肾脏动脉供血的变异,彩色多普勒超声是一种简便、经济的影像学检查方法,可作为副肾动脉的首选筛查方法。
[Abstract]:Objective to evaluate the diagnostic value of color Doppler ultrasound in accessory renal artery in patients with hypertension. Methods to compare the relationship between peak systolic velocity and diameter of (MRA) and accessory renal artery (ARA) in (RA), of unmutated renal artery. Results in 110 patients with accessory renal artery, there were 118 accessory renal arteries, 70 of them were located on the right side, and 102 were unilateral accessory renal arteries in 102 cases, 8 were bilateral accessory renal arteries. Peak systolic velocity of RA in non-variant side (104.86 卤24.08) cm/s, diameter (0.51 卤0.07) cm; variant side MRA peak systolic velocity (104.86 卤34.24) cm/s, diameter (0.39 卤0.07) cm; variant side ARA peak systolic velocity (106.72 卤33.10) cm/s, diameter (0.29 卤0.07) cm. There was statistical difference between the diameter of RA and MRA in the non-variant side, and no significant difference between the peak systolic velocities in the two sides. There was statistical difference between the diameter of MRA and ARA in the variant side, but there was no statistical difference in velocity contrast. There was statistical difference between the diameter of RA and ARA in no variation side, but no significant difference between velocity and velocity. Conclusion accessory renal artery is a variation of renal artery supply. Color Doppler ultrasound is a simple and economical imaging method and can be used as the first choice for screening accessory renal artery.
【作者单位】：首都医科大学附属北京安贞医院综合超声科;北京市心肺血管疾病研究所;
【分类号】：R445.1;R544.1

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